Individual
EMMANUEL POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5013 SABLE CHIME DR, WIMAUMA, FL 33598-4171
(347) 821-2930
Mailing address
5013 SABLE CHIME DR, WIMAUMA, FL 33598-4171
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
FL
Other
Enumeration date
01/17/2023
Last updated
01/22/2023
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